| Raymond John Poor, MD | |
|
2085 Rice St, Roseville, MN 55113-6807 | |
| (651) 489-9035 | |
| (651) 489-6373 |
| Full Name | Raymond John Poor |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 27 Years |
| Location | 2085 Rice St, Roseville, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730106576 | NPI | - | NPPES |
| 1835219 | Other | MN | AMERICA'S PPO |
| 1034201 | Other | MN | PREFERRED ONE |
| 211914500 | Medicaid | MN | |
| 164081C028 | Other | UCARE | |
| 3100162 | Other | MN | MEDICA |
| 34354500 | Medicaid | WI | |
| 428S0PO | Other | MN | BCBSMN |
| HP37229 | Other | MN | HEALTHPARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 45375 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmc Dialysis Services Of St Paul | Saint paul, MN | Dialysis facility |
| Fmc - Maplewood Heights | Maplewood, MN | Dialysis facility |
| Allina United Hospital | Saint paul, MN | Hospital |
| Healtheast St John's Hospital | Maplewood, MN | Hospital |
| Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Memorial Health Care | 0042123028 | 469 |
| Allina Health System | 4587573613 | 3584 |
| Kidney Specialists Of Minnesota, Pa | 5092616029 | 33 |
| Kidney Specialists Of Minnesota, Pa | 5092616029 | 33 |
| Entity Name | North Memorial Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Kidney Specialists Of Minnesota Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629010228 PECOS PAC ID: 5092616029 Enrollment ID: O20040407001085 |
| Entity Name | Regency Hospital Of Minneapolis, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770585382 PECOS PAC ID: 0345203840 Enrollment ID: O20050328000075 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond John Poor, MD 6200 Shingle Creek Pkwy, Suite 260, Brooklyn Center, MN 55430-2128 Ph: (763) 561-5349 | Raymond John Poor, MD 2085 Rice St, Roseville, MN 55113-6807 Ph: (651) 489-9035 |
Dr. Eric Hartman, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W Ste 100, Roseville, MN 55113 Phone: 651-292-2000 | |
Kathleen T. Lundell, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2848 Patton Rd, Roseville, MN 55113 Phone: 651-628-0098 | |
Dr. Joseph Y Lee, D.O. Nephrology Medicare: Medicare Enrolled Practice Location: 2085 Rice St, Roseville, MN 55113 Phone: 651-489-9035 | |
Ms. Diane Helen Scott, Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2545 Hamline Ave N, Apt 211, Roseville, MN 55113 Phone: 651-387-0986 | |
Arkady Synhavsky, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2085 Rice St, Roseville, MN 55113 Phone: 651-489-9035 Fax: 651-489-6373 | |
Erskine M Caperton, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2233 Hamline Ave N, Suite 508, Roseville, MN 55113 Phone: 651-633-6230 Fax: 651-633-2428 |